ICD-10 Coding for History of Blood Clots(Z86.718, Z86.711)
Complete ICD-10-CM coding and documentation guide for History of Blood Clots. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Blood Clots
Z86.71-Z86.79Primary Range
Personal history of diseases of the circulatory system
This range includes codes for personal history of venous thrombosis and embolism, including DVT and PE.
Chronic and acute embolism and thrombosis of veins
This range is used for coding active or chronic DVT conditions.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z86.718 | Personal history of other venous thrombosis and embolism | Use when the patient has a resolved history of DVT or PE and is not on anticoagulation therapy. |
|
| Z86.711 | Personal history of pulmonary embolism | Use when the patient has a resolved history of PE and is not on anticoagulation therapy. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for history of blood clots
Essential facts and insights about History of Blood Clots
Primary ICD-10-CM Codes for history of blood clots
Decision Criteria
clinical Criteria
- Patient has a documented history of DVT or PE with no current symptoms or treatment.
Applicable To
- History of deep vein thrombosis (DVT)
- History of superficial thrombophlebitis
Clinical Validation Requirements
- Documentation of resolved DVT or PE
- No current anticoagulation treatment
Code-Specific Risks
- Incorrectly coding active DVT as history
- Missing documentation of resolution
Coding Notes
- Ensure documentation clearly states 'history of' and specifies resolution.
Z86.711 - Personal history of pulmonary embolism
Use when the patient has a resolved history of PE and is not on anticoagulation therapy.
Applicable To
- History of pulmonary embolism
Excludes
- Current pulmonary embolism (I26.90)
Clinical Validation Requirements
- Documentation of resolved PE
- No current anticoagulation treatment
Coding Notes
Ensure documentation clearly states 'history of' and specifies resolution.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of anticoagulants
Z79.01Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Blood Clots to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.718.
Impact
Clinical: Potential mismanagement of patient care., Regulatory: Non-compliance with documentation standards., Financial: Incorrect billing and potential claim denials.
Mitigation Strategy
Always document anticoagulation status, Review patient history for completeness
Impact
Reimbursement: Incorrect reimbursement due to misclassification., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Use I82.5- for chronic DVT with ongoing treatment.
Impact
Coding resolved conditions as active can lead to audit discrepancies.
Mitigation Strategy
Ensure clear documentation of resolution and treatment status.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for History of Blood Clots, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Blood Clots
Use these documentation templates to ensure complete and accurate documentation for History of Blood Clots. These templates include all required elements for proper coding and billing.
Resolved DVT with no current treatment
Specialty: Internal MedicineRequired Elements
- History of DVT
- Resolution date
- Current status
- Anticoagulation history
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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